Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LABORATORIO SAN RAFAEL 2000 INC

NPI: 1780759696 · ISABELA, PR 00662 · Clinical Medical Laboratory · NPI assigned 11/24/2006

$138K
Total Medicaid Paid
12,631
Total Claims
11,552
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialARIAS, YOLANDA (ADMINISTRATOR)
NPI Enumeration Date11/24/2006

Related Entities

Other providers sharing the same authorized official: ARIAS, YOLANDA

ProviderCityStateTotal Paid
LABORATORIO SAN RAFAEL QUEBRADILLAS, INC. QUEBRADILLAS PR $1.15M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,642 $15K
2019 1,013 $9K
2020 849 $9K
2021 1,966 $24K
2022 2,179 $32K
2023 2,787 $26K
2024 2,195 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 1,593 1,510 $27K
80061 Lipid panel 1,963 1,826 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,633 2,434 $20K
80053 Comprehensive metabolic panel 1,620 1,506 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 285 264 $12K
83036 Hemoglobin; glycosylated (A1C) 843 765 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 286 264 $7K
81000 2,045 1,881 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 133 110 $4K
82274 224 189 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 137 72 $2K
36415 Collection of venous blood by venipuncture 301 249 $1K
82043 205 169 $1K
82570 226 189 $1K
80048 Basic metabolic panel (calcium, ionized) 80 74 $680.73
86328 23 23 $437.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 20 13 $358.02
86703 14 14 $180.60